<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Opt_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-opt_date" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[opt_date]" type="text" value="{:date('Y-m-d')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ikuai')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ikuai" class="form-control" name="row[ikuai]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tpliak')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tpliak" class="form-control" name="row[tpliak]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Yidong')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-yidong" class="form-control" name="row[yidong]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ikuai_yi')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ikuai_yi" class="form-control" name="row[ikuai_yi]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ikuai_zhong')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ikuai_zhong" class="form-control" name="row[ikuai_zhong]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ikuai_zhuo')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ikuai_zhuo" class="form-control" name="row[ikuai_zhuo]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ikuai_wu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ikuai_wu" class="form-control" name="row[ikuai_wu]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tp_yi')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tp_yi" class="form-control" name="row[tp_yi]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tp_zhong')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tp_zhong" class="form-control" name="row[tp_zhong]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tp_zhuo')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tp_zhuo" class="form-control" name="row[tp_zhuo]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tp_wu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tp_wu" class="form-control" name="row[tp_wu]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Yd_yi')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-yd_yi" class="form-control" name="row[yd_yi]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Yd_zhong')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-yd_zhong" class="form-control" name="row[yd_zhong]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Yd_zhuo')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-yd_zhuo" class="form-control" name="row[yd_zhuo]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Yd_wu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-yd_wu" class="form-control" name="row[yd_wu]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shouli_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shouli_id" data-rule="required" data-source="shouli/index" class="form-control selectpage" name="row[shouli_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control" name="row[remark]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
